| NPI | 1134182868 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 30966) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101238642) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2018-08-07 |