| NPI | 1922053198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 042669) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 1024757) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2025-08-07 |