| NPI | 1548524762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 29461) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NE 6832) |
| Enumeration Date | 2012-07-02 |
| Last Update Date | 2016-08-06 |