| NPI | 1770541989 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS0010836) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS006319-E) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2021-01-18 |