| NPI | 1841037249 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 1027872) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MA 1027872) |
| Enumeration Date | 2024-07-11 |
| Last Update Date | 2026-07-23 |