| NPI | 1689740094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI MD-25984) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD184664) |
| 207L00000X Anesthesiology (Licence: FL ME0092236) | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2026-02-05 |