| NPI | 1275707929 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 0000048034) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 011637109) |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2013-07-24 |