| NPI | 1578595377 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 34812) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D62875) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-07-08 |