| NPI | 1043472434 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P4617) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX P4617) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2023-10-20 |