| NPI | 1932284627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD.019129) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 359456-1205) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2023-04-25 |