| NPI | 1083689236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SD 4290) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ND 12144) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2014-05-01 |