| NPI | 1821350448 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 29862) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 6738) |
| Enumeration Date | 2012-06-10 |
| Last Update Date | 2017-07-27 |