| NPI | 1558340794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OR DO186090) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 43591) |
| Enumeration Date | 2006-01-16 |
| Last Update Date | 2018-10-10 |