| NPI | 1508811233 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 18623) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX F6393) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-08-31 |