| NPI | 1013180496 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2010-02005) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 141392) |
| Enumeration Date | 2008-04-08 |
| Last Update Date | 2013-06-05 |