| NPI | 1740422179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0102202717) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0053740) |
| 207L00000X Anesthesiology (Licence: PA OS014992) | |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2024-10-07 |