| NPI | 1801021688 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2017-00327) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 50485) |
| Enumeration Date | 2009-05-21 |
| Last Update Date | 2018-02-20 |