| NPI | 1730474271 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 17147) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 257767) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2015-09-11 |