| NPI | 1003818923 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME85406) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME 008618) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2012-12-12 |