| NPI | 1326001744 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX V3595) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM 20040124) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2025-08-06 |