| NPI | 1801997614 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 239157) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX Q7809) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2017-04-10 |