| NPI | 1922299106 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P5361) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 006100) |
| 207L00000X Anesthesiology (Licence: AK 6401) | |
| 207L00000X Anesthesiology (Licence: IN 02003359A) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2021-12-08 |