| NPI | 1932199056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101030056) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: VA 0101030056) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2025-07-09 |