| NPI | 1881650307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2006001776) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 46171) |
| Enumeration Date | 2006-04-24 |
| Last Update Date | 2007-07-08 |