| NPI | 1437448149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 261995) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 248007) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2015-11-16 |