| NPI | 1427101906 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX K5458) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 58320) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2022-07-26 |