| NPI | 1598989295 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M7085) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 04-31288) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2013-08-06 |