| NPI | 1447224415 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM A-2246-19) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX L-9100) |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-05-23 |