| NPI | 1275760803 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 324193) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P6444) |
| 207L00000X Anesthesiology (Licence: NM MD2017-0763) | |
| 208600000X Surgery (Licence: CO TL3345) | |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2024-07-08 |