| NPI | 1497913305 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 40960) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA R-8338) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2013-08-09 |