| NPI | 1982847406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0054515) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P5532) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2018-01-10 |