| NPI | 1548462435 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P2327) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD d0072405) |
| Enumeration Date | 2007-06-03 |
| Last Update Date | 2022-08-04 |