| NPI | 1093893901 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME176083) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A50888) |
| 207L00000X Anesthesiology (Licence: NV 7329) | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-09-22 |