| NPI | 1013943745 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WA MD00015269) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AK 4792) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2010-02-18 |