| NPI | 1831309947 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M2687) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R7729) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2022-09-16 |