| NPI | 1265726525 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 82738) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 266234) |
| 207L00000X Anesthesiology (Licence: MA 266234) | |
| Enumeration Date | 2011-06-04 |
| Last Update Date | 2026-02-26 |