| NPI | 1598860066 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S0917) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 149140) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2022-08-30 |