| NPI | 1912044298 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2025-00258) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0045443) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2025-09-08 |