| NPI | 1801013040 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 103737) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME96495) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2025-03-31 |