| NPI | 1356541262 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-7586) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N8841) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2020-03-12 |