| 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 |