| NPI | 1396780037 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME164865) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 45691) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2026-03-23 |