| NPI | 1932119039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101242162) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD D0029865) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2008-08-05 |