| NPI | 1093976706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 13286) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MT189571) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2009-11-03 |