| NPI | 1366701856 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 006881) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10043696) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2016-06-28 |