| NPI | 1861460438 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P2097) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 15287r) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2024-01-31 |