| NPI | 1770514952 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 26197) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E2976) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2016-09-16 |