| NPI | 1346240934 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T2507) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0054456) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2021-11-22 |