| NPI | 1568530731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M7631) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 222151) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2022-05-13 |