| NPI | 1457398067 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 17757) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 153354) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2016-11-01 |