| NPI | 1306887195 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0102037154) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS18198) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2025-11-17 |