| NPI | 1285810986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 002144) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 32479) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2025-09-23 |