| NPI | 1922273838 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD60144461) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 6351923-1205) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2018-12-03 |