| NPI | 1093751406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX J5616) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 347530-1205) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2023-11-08 |