| NPI | 1316276009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q2476) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 069819) |
| 207L00000X Anesthesiology (Licence: MD d77883) | |
| Enumeration Date | 2009-12-09 |
| Last Update Date | 2022-03-18 |