| NPI | 1447388194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M5911) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KY 61602) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2026-03-06 |