| NPI | 1699742437 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VT 0420010246) |
| Additional Taxonomies | 208600000X Surgery (Licence: VT 0420010246) |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2013-08-19 |