| NPI | 1588907430 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T3221) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 63553) |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2024-05-23 |