| NPI | 1255385530 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME75348) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IN 010595532A) |
| 207L00000X Anesthesiology (Licence: KY 40956) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2008-03-11 |