| NPI | 1316325350 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX BP10054066) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX S1846) |
| Enumeration Date | 2015-05-11 |
| Last Update Date | 2019-06-28 |