| NPI | 1427462761 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 37030) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL37030) |
| Enumeration Date | 2014-06-14 |
| Last Update Date | 2018-08-07 |