| NPI | 1982137873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0076599) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101277654) |
| Enumeration Date | 2017-04-06 |
| Last Update Date | 2026-08-13 |