| NPI | 1740609502 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 65117-20) |
| Additional Taxonomies | 207ZB0001X Pathology, Blood Banking & Transfusion Medicine (Licence: WI 65117-20) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2020-08-12 |