| NPI | 1134120470 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 11930) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 238548) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2019-01-08 |