| NPI | 1942320338 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN MD460888) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 059831) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2010-10-07 |