| NPI | 1992773527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S3816) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 01054120A) |
| 207L00000X Anesthesiology (Licence: CO 48430) | |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2023-03-09 |