| NPI | 1942226261 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2005037005) |
| Additional Taxonomies | 2086S0102X Surgery, Surgical Critical Care (Licence: MO 2005037005) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2007-12-28 |