| NPI | 1437259223 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA G60905) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 24595) |
| 207L00000X Anesthesiology (Licence: FL ME131058) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2025-10-27 |