| NPI | 1598923039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 265766) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX N7172) |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2013-07-08 |