| NPI | 1891744306 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 41017) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 223320) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2013-09-26 |