| NPI | 1184696239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 24018) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 34966-20) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2025-09-17 |