| NPI | 1376799056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N9199) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 11644) |
| Enumeration Date | 2008-08-13 |
| Last Update Date | 2023-05-22 |