| NPI | 1093926263 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 014211) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 014211) |
| Enumeration Date | 2007-05-26 |
| Last Update Date | 2009-03-06 |