| NPI | 1336309707 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R8970) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT193377) |
| Enumeration Date | 2008-06-10 |
| Last Update Date | 2019-11-21 |