| NPI | 1699074898 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 178417) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 93258) |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2025-09-30 |