| NPI | 1386656882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX H6336) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI 7932) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2012-12-12 |