| NPI | 1912267253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 47043) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX R2449) |
| 207L00000X Anesthesiology (Licence: TX R2449) | |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2026-03-25 |