| NPI | 1780672204 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 38873) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 88747) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2024-05-17 |