| NPI | 1821187444 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: SC LL25555) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2013-00334) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2014-06-27 |