| NPI | 1497802292 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 13065171-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 43059) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2023-03-28 |