| NPI | 1427150986 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 9779) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 42152) |
| Enumeration Date | 2006-09-03 |
| Last Update Date | 2016-05-09 |