| NPI | 1447233218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 71527) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101230994) |
| Enumeration Date | 2005-11-24 |
| Last Update Date | 2025-06-26 |