| NPI | 1336332048 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D72196) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MD P21921) |
| Enumeration Date | 2007-08-26 |
| Last Update Date | 2013-09-03 |