| NPI | 1649432014 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P4620) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10030734) |
| Enumeration Date | 2008-06-27 |
| Last Update Date | 2020-07-30 |