| NPI | 1598849408 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX U0345) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 277514) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-12-12 |