| NPI | 1235145236 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 22101) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 34313) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-11-29 |