| NPI | 1093041535 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 7771434-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 7771434-8905) |
| Enumeration Date | 2009-10-18 |
| Last Update Date | 2016-03-29 |