| NPI | 1831108711 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 33273) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: CO 33273) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2011-02-11 |