| NPI | 1992749097 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 14601) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 021709) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2026-07-20 |