| NPI | 1447368964 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 18361) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 37260) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2016-06-16 |