| NPI | 1780799056 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q6248) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 42125) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2016-02-08 |