| NPI | 1003027269 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101288042) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N6465) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2026-02-09 |