| NPI | 1841307410 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 029846) |
| Additional Taxonomies | 174400000X Specialist (Licence: CT 029846) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-08-07 |