| NPI | 1942447883 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P1968) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 52170) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2024-04-09 |