| NPI | 1154565414 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P4781) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10033744) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2023-06-15 |