| NPI | 1992236335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 74992) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME148475) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2024-11-11 |