| NPI | 1740260363 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA 39299) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: IA SP126) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2011-06-01 |