| NPI | 1336582576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R5705) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 11202226) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2022-07-22 |