| NPI | 1659578045 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA 203382) |
| Additional Taxonomies | 208600000X Surgery (Licence: GA 002508) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2012-07-17 |