| NPI | 1316027659 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME88186) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M2491) |
| 207L00000X Anesthesiology (Licence: MD D59102) | |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2023-12-15 |