| NPI | 1588675383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 35818) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NM MD2004-0127) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-09-18 |