| NPI | 1881682169 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S3908) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 27657-020) |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2022-06-22 |