| NPI | 1982137477 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 347791) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX U3994) |
| 207L00000X Anesthesiology (Licence: AL MD37396) | |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2026-08-07 |