| NPI | 1821296427 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 076627) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN 2272) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2017-03-05 |