| NPI | 1033154950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 246546) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 35271) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2012-01-24 |