| NPI | 1063856425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q5693) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 574823) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2022-01-27 |