| NPI | 1174503239 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 27020) |
| Additional Taxonomies | 174400000X Specialist (Licence: IA 27020) |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2008-10-17 |