| NPI | 1356312342 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 20167) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L9859) |
| Enumeration Date | 2006-01-30 |
| Last Update Date | 2023-10-17 |