| NPI | 1417243387 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 17077) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MA 248349) |
| 207L00000X Anesthesiology (Licence: MA 248349) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2015-07-08 |