| NPI | 1992146385 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 74157-20) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 306372) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2021-03-11 |