| NPI | 1881679793 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M9814) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 42386) |
| Enumeration Date | 2005-12-13 |
| Last Update Date | 2016-03-23 |