| NPI | 1295034015 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD.207646) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 64878) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2017-04-11 |