| NPI | 1588837173 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2011-01847) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 34210) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2012-07-19 |