| NPI | 1720266042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P6443) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 258826) |
| 207L00000X Anesthesiology (Licence: CA A94462) | |
| Enumeration Date | 2008-02-08 |
| Last Update Date | 2024-05-20 |