| NPI | 1144674896 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S6510) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10057139) |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2024-05-22 |