| NPI | 1467434332 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 212435) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: UT 5638863-1205) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2019-06-26 |