| NPI | 1083780365 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D33328) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101058555) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2010-07-08 |