| NPI | 1457325029 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 74054) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A89462) |
| 207L00000X Anesthesiology (Licence: PA MD425697) | |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2026-02-11 |