| NPI | 1881758019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 33689) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2017-01235) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2021-02-26 |