| NPI | 1598876229 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME68837) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 0096-00191) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-12-21 |