| NPI | 1497835698 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA OP00002269) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL uo862) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-12-05 |