| NPI | 1922240605 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q1341) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2013-0151) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2022-05-31 |