| NPI | 1457577231 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NM 98-235) |
| Additional Taxonomies | 174400000X Specialist (Licence: NM 98-235) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2013-06-03 |