| NPI | 1811138001 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P8918) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 55368) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2015-09-23 |