| NPI | 1871686857 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS18098) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS006816L) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2021-09-27 |