| NPI | 1134154198 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 9800629) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 010253189) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2013-11-25 |