| NPI | 1285946111 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: ME MD20102) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 35307) |
| Enumeration Date | 2010-07-08 |
| Last Update Date | 2025-08-25 |