| NPI | 1982132882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 92352) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D94901) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2024-08-29 |