| NPI | 1528405578 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 35731) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL35731) |
| Enumeration Date | 2013-05-31 |
| Last Update Date | 2017-06-19 |