| NPI | 1447516950 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR MD176580) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 106993) |
| 207L00000X Anesthesiology (Licence: MN 56805) | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2016-05-13 |