| NPI | 1841329844 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2010-00531) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 134102) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2018-03-17 |