| NPI | 1710032628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 282287) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L4782) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-04-22 |