| NPI | 1154583508 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CA A132511) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI MD-16487) |
| Enumeration Date | 2008-06-26 |
| Last Update Date | 2015-02-27 |