| NPI | 1801046669 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR0058597) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX FTL 42831) |
| 207L00000X Anesthesiology (Licence: TX FTL 42422) | |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2024-05-07 |