| NPI | 1922232610 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 40510) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 30718) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2021-05-07 |