| NPI | 1609198142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 90140801205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ AZ16525451928) |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2024-04-22 |