| NPI | 1811314776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0060121) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: CO DR.0060121) |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2019-10-09 |