| NPI | 1417451063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WV 4668) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2022-00724) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2026-05-05 |