| NPI | 1538355425 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 48689) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 2488) |
| Enumeration Date | 2007-09-24 |
| Last Update Date | 2011-03-04 |