| NPI | 1831211010 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N8903) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 23851) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-01-18 |