| NPI | 1437643145 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U8952) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 51983) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2024-07-12 |