| NPI | 1174684849 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 231537) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 219026) |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2016-01-25 |