| NPI | 1104913136 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q9634) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ND 8467) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2025-02-24 |