| NPI | 1942452735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S8802) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX FTL 42798) |
| 207L00000X Anesthesiology (Licence: TX FTL42419) | |
| Enumeration Date | 2008-10-13 |
| Last Update Date | 2024-04-02 |