| NPI | 1982719589 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 34178) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 8511) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-03-28 |