| NPI | 1821244211 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N5547) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP20029666) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2021-12-03 |