| NPI | 1275594814 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 11862) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX F2156) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2011-07-29 |