| NPI | 1467665893 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 53068) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA 60339708) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2013-08-20 |