| NPI | 1740280197 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 033485) |
| Additional Taxonomies | 207LP3000X Anesthesiology, Pediatric Anesthesiology (Licence: GA 33485) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2015-10-27 |