| NPI | 1295745370 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD21356) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AK 5345) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2014-10-06 |