| NPI | 1568773547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q5220) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX Q5220) |
| Enumeration Date | 2010-06-24 |
| Last Update Date | 2026-04-30 |