| NPI | 1952366270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME67077) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 22420) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2023-03-01 |