| NPI | 1295015956 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P7381) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 209883) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2023-12-01 |