| NPI | 1881076776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0063471) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101261793) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2022-07-13 |