| NPI | 1326296807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 26131) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N0340) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2011-06-23 |