| NPI | 1336107788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA 5516L) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: PA MD055516L) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-09-03 |