| NPI | 1700044245 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 075935) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0074130) |
| Enumeration Date | 2008-05-31 |
| Last Update Date | 2016-06-15 |