| NPI | 1831283357 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00047422) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI MD-13398) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-12-11 |