| NPI | 1982281705 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME177618) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 44794) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2026-04-01 |