| NPI | 1437138575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 32441) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 4824) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2025-03-05 |