| NPI | 1013274612 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-18627) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX R4054) |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2024-12-17 |