| NPI | 1750438578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P0518) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD0000043845) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2011-11-03 |