| NPI | 1487679841 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 14818) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 15000) |
| 207L00000X Anesthesiology (Licence: LA md207394) | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2015-08-13 |