| NPI | 1558475988 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA do000234) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MS 19402) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2016-01-05 |