| NPI | 1184949026 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q4647) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 258380) |
| Enumeration Date | 2010-04-04 |
| Last Update Date | 2020-06-24 |