| NPI | 1699726083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S8964) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 42618) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2022-11-03 |