| NPI | 1053367227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WY 7277A) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX U9454) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2024-04-23 |