| NPI | 1184684342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD190190) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX J5539) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2023-07-21 |