| NPI | 1962433508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208VP0000X (Licence: GA GA 036773) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA GA036773) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-12-29 |