| NPI | 1194722785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD22253) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 18016) |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2012-09-18 |