| NPI | 1053397927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX H2447) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX E35628) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2018-06-06 |