| NPI | 1639334451 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N6335) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10025532) |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2022-05-12 |