| NPI | 1952576324 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 77193) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX p7286) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2025-04-14 |