| NPI | 1194795492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 26970) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101235889) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-10-02 |