| NPI | 1437190063 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MD D51989) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: MD D51989) |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2014-01-10 |