| NPI | 1871619361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 23960) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD215981) |
| 207L00000X Anesthesiology (Licence: MT 117636) | |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2023-07-20 |