| NPI | 1427311315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S8954) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 253088) |
| Enumeration Date | 2012-06-17 |
| Last Update Date | 2021-04-29 |