| NPI | 1467427831 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2024-02578) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA MD425920) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2024-10-09 |