| NPI | 1942278684 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 82183) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 21679) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2019-06-04 |