| NPI | 1962722579 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX P8913) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX BP10036719) |
| Enumeration Date | 2010-06-04 |
| Last Update Date | 2017-02-27 |