| NPI | 1477534238 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN MD52458) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 213965) |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2015-06-24 |