| NPI | 1992963557 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 67305) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 67305) |
| Enumeration Date | 2008-05-29 |
| Last Update Date | 2012-02-16 |