| NPI | 1538286810 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME89604) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 73562) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2025-07-31 |