| NPI | 1134758790 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U9350) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS NA) |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2024-09-24 |