| NPI | 1952798829 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 83324) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0102204642) |
| Enumeration Date | 2015-04-18 |
| Last Update Date | 2020-11-25 |