| NPI | 1497709927 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AL 29936) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 34501) |
| 207L00000X Anesthesiology (Licence: GA 62552) | |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2010-03-29 |