| NPI | 1962722264 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX Q0131) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX 549547) |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2019-10-24 |