| NPI | 1245528595 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q8072) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2011017318) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2022-09-08 |