| NPI | 1255380507 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2005013268) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 31326) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2026-04-15 |