| NPI | 1487655353 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD H0065941) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L8292) |
| 207L00000X Anesthesiology (Licence: MD MD21921) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2024-09-26 |