| NPI | 1891748190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA OS006182L) |
| Additional Taxonomies | 174400000X Specialist (Licence: PA OS006182L) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2018-03-17 |