| NPI | 1477671691 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MI 4301081445) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 236553) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2014-07-03 |