| NPI | 1518915438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R8846) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD 58636) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2024-10-07 |