| NPI | 1922027713 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CT 025519) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 37341) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2016-08-15 |