| NPI | 1689934788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q7004) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10043691) |
| Enumeration Date | 2012-05-22 |
| Last Update Date | 2023-01-26 |