| NPI | 1922022383 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MA 243085) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301083378) |
| 207L00000X Anesthesiology (Licence: MN 53191) | |
| 207L00000X Anesthesiology (Licence: IN 01060415A) | |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2011-04-11 |