| NPI | 1942656327 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 100495-875) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10057137) |
| 207L00000X Anesthesiology (Licence: TX U4597) | |
| 207L00000X Anesthesiology (Licence: NY 310406) | |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2024-03-28 |