| NPI | 1013220631 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q7646) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD451728) |
| Enumeration Date | 2010-07-24 |
| Last Update Date | 2016-07-01 |