| NPI | 1275577728 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN MD20745) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO R7J85) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2012-11-05 |