| NPI | 1467432013 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 351) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 3573) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2025-10-08 |