| NPI | 1184831133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 13357) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101236601) |
| 207L00000X Anesthesiology (Licence: FL ME119509) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2025-04-16 |