| NPI | 1326009168 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX K6644) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 22015) |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2020-05-06 |