| NPI | 1881031789 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 007431) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10047097) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2024-12-09 |