| NPI | 1942245311 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: UT 156968-1205) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD13621) |
| 207L00000X Anesthesiology (Licence: HI MD11468) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-07-08 |