| NPI | 1427005222 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S2106) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 239942) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2022-02-18 |