| NPI | 1598742116 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 42713) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX H8117) |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2018-09-11 |