| NPI | 1932135977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 1320) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA OS012913) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2023-05-08 |