| NPI | 1326213158 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N7500) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2007-01955) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2013-04-11 |