| NPI | 1699925891 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P4639) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 253544) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2022-06-22 |