| NPI | 1487971586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 62532-20) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA MD-55662) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2025-08-21 |