| NPI | 1275823858 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q3559) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: TX q3559) |
| Enumeration Date | 2011-04-15 |
| Last Update Date | 2020-02-19 |