| NPI | 1184882979 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 29129) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P0502) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2012-11-15 |