| NPI | 1023045499 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M6369) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D61674) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2022-08-16 |