| NPI | 1992225262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 28659) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 63407) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2026-01-28 |