| NPI | 1851401681 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00041466) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA ML20008033) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-09-24 |