| NPI | 1184884389 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P3224) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 26358) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2022-10-07 |