| NPI | 1043276678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX L5274) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 34080) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2020-06-09 |