| NPI | 1609845270 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX K1834) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX K-1834) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2023-01-19 |