| NPI | 1245438563 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 31649) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2011-00559) |
| Enumeration Date | 2007-07-08 |
| Last Update Date | 2011-05-10 |