| NPI | 1770742652 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AR R71248) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR CTP000075) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2008-06-05 |