| NPI | 1184881310 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2012-01457) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 149280) |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2013-05-02 |