| NPI | 1417922527 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN MD8990) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA MD28463) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2013-09-17 |