| NPI | 1265599823 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 103138) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 26300) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2010-11-19 |