| NPI | 1184917585 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R0701) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX R0701) |
| 208600000X Surgery (Licence: TX BP10040672) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2025-12-04 |