| NPI | 1306281621 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S3898) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 270562) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2022-03-09 |