| NPI | 1629014147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 40654) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 00027252) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2010-06-16 |