| NPI | 1194334383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY P118794) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10073239) |
| Enumeration Date | 2020-07-24 |
| Last Update Date | 2023-04-04 |