| NPI | 1285162933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T1792) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10060846) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2022-07-21 |