| NPI | 1760473243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 42221) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 042221) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2022-12-01 |