| NPI | 1821035155 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 63430) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 16485) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2023-03-07 |