| NPI | 1316434103 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 67220) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10063869) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2022-10-03 |