| NPI | 1841855665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 30881) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX V0540) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2024-09-18 |