| NPI | 1891754016 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 044340) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OH 87334) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2007-11-15 |