| NPI | 1295761807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 15615) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 58784) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2016-09-24 |