| NPI | 1740487545 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MO 2012037225) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MO 2012037225) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2026-02-09 |