| NPI | 1467423475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 19018) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD28224) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2026-04-14 |