| NPI | 1487808242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 373370-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A125957) |
| 207L00000X Anesthesiology (Licence: IA MD-55532) | |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2025-08-04 |