| NPI | 1194898122 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 00469) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL TRN-7612) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2010-10-05 |