| NPI | 1922110238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 73631) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G185046) |
| 207L00000X Anesthesiology (Licence: UT 319122-1205) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-07-19 |