| NPI | 1558449538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX V6183) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 82470) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-04-02 |