| NPI | 1912138850 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME118044) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA A124556) |
| 207L00000X Anesthesiology (Licence: TX N8393) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2024-03-25 |