| NPI | 1437391497 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N5034) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 246811) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2011-04-22 |