| NPI | 1477671212 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2010003850) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 49827) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2013-05-22 |