| NPI | 1467411660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 61873) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301059927) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2025-07-16 |