| NPI | 1952443202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 75588) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY IP922) |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2025-01-22 |