| NPI | 1487632733 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 200200762) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DC MD18624) |
| Enumeration Date | 2006-01-06 |
| Last Update Date | 2007-07-08 |