| NPI | 1710568050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX V7088) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10075193) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2025-06-20 |