| NPI | 1063518199 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX 40689) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD28797) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2025-09-15 |