| NPI | 1467506576 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 24622) |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 24622) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2010-04-07 |