| NPI | 1922257039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0102204756) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS11067) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2020-05-23 |