| NPI | 1598756637 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M3699) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 00015132) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2014-10-13 |