| NPI | 1447391677 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: TN 46094) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 26161) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-06-18 |