| NPI | 1124289715 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 16061) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 48488) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2013-08-07 |