| NPI | 1144430208 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60018387) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX M5970) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2014-04-08 |