| NPI | 1144315698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 92-187271-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD223040) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2025-03-05 |