| NPI | 1366460255 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 43462) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: AZ 35080) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-07-11 |