| NPI | 1912945973 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 22116) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M2949) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2021-12-22 |