| NPI | 1154448611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO DR.0048919) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 26005) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2013-06-06 |