| NPI | 1053675710 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q7827) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10045010) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2016-06-29 |