| NPI | 1174551378 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TX k5827) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CA G72910) |
| 207L00000X Anesthesiology (Licence: TX k5827) | |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: CA G72910) | |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2011-11-11 |