| NPI | 1952429649 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX M0593) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TX M0593) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-12-03 |