| NPI | 1841556859 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2018002972) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX R7045) |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2025-02-03 |