| NPI | 1548421449 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 046507) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX H1976) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2016-09-30 |