| NPI | 1205850351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 75384) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L9886) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2024-11-19 |