| NPI | 1922084268 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: HI DOS 1003) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: HI DOS 1003) |
| Enumeration Date | 2005-12-19 |
| Last Update Date | 2014-04-11 |