| NPI | 1952588477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 249554) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 002757) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2023-11-14 |