| NPI | 1730441437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 61680) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301108981) |
| Enumeration Date | 2012-06-09 |
| Last Update Date | 2024-04-11 |