| NPI | 1992961437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N2736) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP20031829) |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2019-10-24 |