| NPI | 1922093152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 32569) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 032569) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2022-12-21 |