| NPI | 1750598470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX N1689) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NY 244086) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2013-06-07 |