| NPI | 1275683393 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N9381) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 230742) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2014-12-18 |