| NPI | 1598323271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 13317776-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-11541) |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2023-06-07 |