| NPI | 1225219678 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M9219) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MT 137188) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2024-03-20 |