| NPI | 1013163633 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N9557) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX N9557) |
| 207L00000X Anesthesiology (Licence: FL ME101837) | |
| 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: FL ME101837) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2014-02-27 |