| NPI | 1235398660 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 246989) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA L-233089) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2016-02-26 |