| NPI | 1396975637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P9450) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: TX P9450) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2014-08-11 |