| NPI | 1730479122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD21754) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101258504) |
| Enumeration Date | 2011-04-19 |
| Last Update Date | 2022-07-21 |