| NPI | 1316904675 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2022-01037) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD25526) |
| 207L00000X Anesthesiology (Licence: OH 35084411) | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2024-09-23 |