| NPI | 1891757712 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0041818) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: CO DR.0041818) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2023-09-04 |