| NPI | 1285886747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q7857) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 268771-1) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2026-01-05 |