| NPI | 1043396682 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101057030) |
| Additional Taxonomies | 174400000X Specialist (Licence: VA 0101057030) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2016-02-17 |