| NPI | 1215434295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV DO3302) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NV DO3302) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2023-10-20 |