| NPI | 1528153152 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 80284) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 7502033-1205) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2026-05-13 |