| NPI | 1225349335 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q3696) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2010018519) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2023-04-06 |