| NPI | 1891725529 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 30031) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX H3889) |
| 207L00000X Anesthesiology (Licence: KY 45539) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2023-10-24 |