| NPI | 1841424421 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P1936) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 41739) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2018-07-13 |