| NPI | 1063445450 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD217775) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX j3152) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2023-12-11 |