| NPI | 1447646476 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S0238) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 307221) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2023-03-08 |