| NPI | 1023242427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T0215) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 252593-1) |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2025-02-07 |