| NPI | 1205497047 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U8394) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 695477) |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2024-09-12 |