| NPI | 1184630691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M7244) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA MD.026059) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-06-17 |