| NPI | 1801976949 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 5832395-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VT 042.0019286-COMP) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2026-03-16 |