| NPI | 1891863429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NC 2013-00233) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 24704) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2013-03-12 |