| NPI | 1376898866 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P4793) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME MD28204) |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2024-10-29 |