| NPI | 1457426843 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 231121) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 224533) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2017-03-14 |