| NPI | 1437100914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N5213) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 229659-1) |
| 207L00000X Anesthesiology (Licence: FL ME149096) | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-07-06 |