| NPI | 1467740761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P4055) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 273731) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2014-02-26 |