| NPI | 1710198882 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN DO2146) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2005018394) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-06-27 |