| NPI | 1043282981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX H8262) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM 93-336) |
| 207L00000X Anesthesiology (Licence: AR E-6274) | |
| Enumeration Date | 2006-02-05 |
| Last Update Date | 2023-11-08 |