| NPI | 1043281538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 45730) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M0984) |
| 207L00000X Anesthesiology (Licence: LA 026320) | |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2025-12-16 |