| NPI | 1952892648 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0072367) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-11233) |
| 207L00000X Anesthesiology (Licence: IA MD-35477) | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2024-02-27 |