| NPI | 1295717932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX K0647) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01036554A) |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2024-05-16 |