| NPI | 1730201617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PR 015684) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PR 2222983) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2009-06-18 |