| NPI | 1639132491 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA md466845) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101238574) |
| 207L00000X Anesthesiology (Licence: MD D74027) | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2025-09-04 |