| NPI | 1194876243 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P8441) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI DOS - 1326) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2022-07-22 |