| NPI | 1841305299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0077570) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301082919) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2026-08-13 |