| NPI | 1669891685 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK 162647) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD227690) |
| Enumeration Date | 2014-04-08 |
| Last Update Date | 2025-12-10 |