| NPI | 1184859340 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 65415) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N2743) |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2024-07-16 |