| NPI | 1477693489 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WV 24630) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX K2406) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2011-09-26 |