| NPI | 1033222005 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD27221) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA ML20007876) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2018-10-24 |