| NPI | 1831338474 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P0028) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 531521) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2020-06-09 |