| NPI | 1669614079 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK 145347) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P8768) |
| 207L00000X Anesthesiology (Licence: CA A154019) | |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2025-02-04 |