| NPI | 1275723272 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 30996) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 002489) |
| 207L00000X Anesthesiology (Licence: FL 12128) | |
| 207L00000X Anesthesiology (Licence: GA 065896) | |
| 207L00000X Anesthesiology (Licence: FL 109878) | |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2011-07-18 |