NPI | 1114042579 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R3176) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 24229s) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2025-08-20 |