| NPI | 1205856838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX K2544) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO CDR0002497) |
| 207L00000X Anesthesiology (Licence: IN 01090591A) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2023-06-28 |