| NPI | 1154372910 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD179176) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO ME31624) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2018-10-15 |