| NPI | 1427166743 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VT 0420011724) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NH 12771) |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2012-12-27 |