| NPI | 1538103882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD.019093) |
| Additional Taxonomies | 174400000X Specialist (Licence: LA 019093) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2014-08-14 |