| NPI | 1770524068 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 17798) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CT 017798) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2015-04-08 |