| NPI | 1326032475 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 24118) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 10681) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2016-06-10 |