| NPI | 1851737423 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0057831) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 57985) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2022-07-21 |