| NPI | 1437123361 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM 2001-223) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S1831) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2022-06-16 |