| NPI | 1669694030 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC 26950) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 27166) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-06-06 |