| NPI | 1992930606 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 27189) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TX P7439) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2018-07-12 |