| NPI | 1841279171 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0029492) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT MEDPHYSCOMLIC129117) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2023-08-31 |