| NPI | 1225132426 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 39298) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 39298) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2007-12-11 |