| NPI | 1194987560 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S5228) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 246519 1) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2024-04-05 |