| NPI | 1477528693 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN MD28055) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA MD41866) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2013-09-19 |