| NPI | 1275775231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KY 47818) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 201402004) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2018-05-09 |