| NPI | 1477630283 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR E-1162) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2011016139) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2012-05-16 |