| NPI | 1932158508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 40116) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 4403) |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-10-01 |