| NPI | 1699745406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 34025) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO CDR.0006129) |
| 207L00000X Anesthesiology (Licence: WA MD00043164) | |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2025-12-09 |