| NPI | 1457386401 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX h4017) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: TX H4017) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2017-04-11 |