| NPI | 1972131183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 95316) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C1-0027158) |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2025-09-29 |