| NPI | 1851575351 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2007-00912) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 30668) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2010-05-05 |