| NPI | 1912923533 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q6662) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 20822) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2024-07-24 |