| NPI | 1821289950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 200905) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 95309) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2024-09-23 |