| NPI | 1730529181 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 30643) |
| Additional Taxonomies | 208600000X Surgery (Licence: NE 6996) |
| Enumeration Date | 2013-06-30 |
| Last Update Date | 2018-09-09 |