| NPI | 1689637050 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WV 27557) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX J5281) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2022-07-21 |