| NPI | 1841462157 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2025003163) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD037169) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2025-08-26 |