| NPI | 1427360189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D77197) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ R72618) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2014-06-02 |