| NPI | 1154999050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 27525) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10074388) |
| Enumeration Date | 2021-06-16 |
| Last Update Date | 2025-06-18 |