| NPI | 1912959537 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN DO1886) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX J6878) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2022-03-22 |