| NPI | 1689773277 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 231213) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P8151) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-12-21 |