| NPI | 1326088576 | 
|---|---|
| Entity Type | Individual | 
| Gender | Male | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 38775) | 
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 038775) | 
| Enumeration Date | 2006-06-07 | 
| Last Update Date | 2022-11-14 |