| NPI | 1437186905 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E5259) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD39096) |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2012-02-10 |