| NPI | 1962751487 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0074006) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 83065) |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2024-09-03 |