| NPI | 1740360601 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 22305) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 200636) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2023-03-07 |