| NPI | 1457308108 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 22600) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 111113) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2026-07-31 |