| NPI | 1285979427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U6858) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 70440-20) |
| Enumeration Date | 2012-11-28 |
| Last Update Date | 2024-01-04 |