| NPI | 1881041077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S1497) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10057656) |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2021-11-03 |