| NPI | 1932109329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 10624) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 211081) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2016-09-14 |