| NPI | 1063479681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 324753) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX G2308) |
| 207L00000X Anesthesiology (Licence: AR R-3293) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2023-10-13 |