| NPI | 1548274640 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 9501395) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NC 9501395) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2025-08-17 |