| NPI | 1881038784 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 86349) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 63541) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: GA 86349) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 63541) | |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2026-07-10 |