| NPI | 1912468034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 8901) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-16539) |
| Enumeration Date | 2019-03-29 |
| Last Update Date | 2025-07-14 |