| NPI | 1437148202 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 58874) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX G3383) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2019-09-23 |