| NPI | 1023118981 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS11146) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 5101010556) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2016-04-01 |