| NPI | 1932171253 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 18500) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX H2909) |
| 207L00000X Anesthesiology (Licence: OK 33413) | |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2021-01-21 |