| NPI | 1851397582 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2018018498) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 16018) |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2023-02-15 |