| NPI | 1578531471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX R9675) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM 2002-0157) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-02-12 |