| NPI | 1043323454 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VA 0101035259) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101035253) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2010-09-23 |