| NPI | 1831182518 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 48339) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 048339) |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2023-01-23 |