| NPI | 1851619688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 5701) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10036849) |
| Enumeration Date | 2010-05-04 |
| Last Update Date | 2025-01-29 |