| NPI | 1821069170 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P1653) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 235125) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2024-05-17 |