| NPI | 1457465833 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 84786) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 51774) |
| 207L00000X Anesthesiology (Licence: AZ 19802) | |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2026-02-11 |