| NPI | 1851345383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 49904-20) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 49904) |
| 207L00000X Anesthesiology (Licence: IA 35517) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2021-12-10 |