| NPI | 1932423845 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R4748) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 3847) |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2024-10-03 |