| NPI | 1417193632 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: OR MD156369) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OR MD156369) |
| Enumeration Date | 2008-12-17 |
| Last Update Date | 2013-04-25 |