| NPI | 1851337570 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX T7575) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 209854-1) |
| 207L00000X Anesthesiology (Licence: NM MD2013-0731) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2022-10-13 |