| NPI | 1114411899 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME DO4275) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR DO211645) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2026-04-02 |