| NPI | 1346250677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MS 16805) |
| Additional Taxonomies | 208600000X Surgery (Licence: MS 16805) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-06-13 |