| NPI | 1740605682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 18064) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 260872) |
| Enumeration Date | 2014-03-02 |
| Last Update Date | 2018-09-29 |