| NPI | 1326075805 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 059546) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN DO1636) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2014-04-03 |