| NPI | 1417183914 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 25085) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 38393) |
| Enumeration Date | 2009-06-10 |
| Last Update Date | 2010-02-23 |