| NPI | 1184887671 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 25559) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 6110) |
| Enumeration Date | 2008-07-06 |
| Last Update Date | 2016-04-06 |