| NPI | 1831396407 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA RTP002372) |
| Additional Taxonomies | 207LH0002X Anesthesiology, Hospice and Palliative Medicine (Licence: FL ME123525) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2025-12-01 |