| NPI | 1841556578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q5628) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10042691) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2017-05-03 |