| NPI | 1205931177 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2011023451) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E3048) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-01-20 |