| NPI | 1871715615 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101252008) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 62444) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2025-03-11 |