| NPI | 1396906053 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P1767) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0077688) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2026-06-17 |