| NPI | 1932513983 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R8902) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL37194) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2020-04-27 |