| NPI | 1407029218 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2009-00270) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 127897) |
| Enumeration Date | 2008-04-12 |
| Last Update Date | 2013-05-23 |