| NPI | 1083604193 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX H9181) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX H9181) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2024-01-22 |