| NPI | 1871983221 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0102204583) |
| Additional Taxonomies | 209800000X Legal Medicine (Licence: VA 0102204583) |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2022-11-02 |