| NPI | 1689967804 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P0177) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10028226) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2022-03-17 |