| NPI | 1619141827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 26500) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 40447) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2026-06-15 |