| NPI | 1295826907 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N0933) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NJ MA71887) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-08-04 |