| NPI | 1730353376 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0053134) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 50097) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2014-03-04 |