| NPI | 1821331679 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 30790) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0061206) |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2018-09-23 |