| NPI | 1225267586 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 5101017971) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5315037522) |
| Enumeration Date | 2009-07-08 |
| Last Update Date | 2014-07-03 |