| NPI | 1023082963 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL OS14428) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0102050247) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2018-06-19 |