| NPI | 1841516762 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 209859) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: NC 209859) |
| Enumeration Date | 2010-04-16 |
| Last Update Date | 2016-09-14 |