| NPI | 1265531925 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WV 20024) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD457679) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2026-03-24 |