| NPI | 1356342653 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH NH10491) |
| Additional Taxonomies | 174400000X Specialist (Licence: NH NH10491) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2008-08-01 |