| NPI | 1437619806 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U2322) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 280546) |
| Enumeration Date | 2019-03-22 |
| Last Update Date | 2024-11-04 |