| NPI | 1376589101 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M2581) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: TX M2581) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2015-04-08 |