| NPI | 1568876183 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 30626) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX s7489) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2020-12-09 |