| NPI | 1912948654 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD.025441) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: LA 025441) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2010-09-02 |