| NPI | 1598991747 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2014008802) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA 4445) |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2014-07-25 |