| NPI | 1740568526 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 47867) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 6416) |
| Enumeration Date | 2011-07-28 |
| Last Update Date | 2024-01-13 |