| NPI | 1114998291 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX E2260) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX E2260) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2009-03-19 |