| NPI | 1740473370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M8810) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD425383) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2009-04-06 |