| NPI | 1295145837 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 272705) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 260089) |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2018-05-02 |