| NPI | 1447222575 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 069109) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 41137) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2007-07-08 |