| NPI | 1689611782 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 020772) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 0099-01573) |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2008-09-24 |