| NPI | 1417160250 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U6849) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD60099225) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2024-06-07 |