| NPI | 1437773835 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 79014) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX U8697) |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2026-04-28 |