| NPI | 1992208227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101268101) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX U7742) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2024-07-09 |