| NPI | 1871604827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2008004461) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 598) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2026-02-17 |