| NPI | 1831714583 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 84347) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL84347) |
| Enumeration Date | 2020-06-09 |
| Last Update Date | 2024-07-26 |