| NPI | 1477728657 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX P8228) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P8228) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2022-01-11 |