| NPI | 1437211935 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 07083R) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX F3707) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-04-10 |