| NPI | 1689905994 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P6461) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10034238) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2020-08-25 |