| NPI | 1184819203 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV DO1935) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P4393) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2018-11-09 |