| NPI | 1407879737 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2009-01237) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-2378) |
| 207L00000X Anesthesiology (Licence: OH 35090260) | |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2016-10-07 |