| NPI | 1811917115 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 48533) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2010-01859) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2023-02-20 |