| NPI | 1134322555 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO dr-49518) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: HI MD-14320) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2011-02-14 |