| NPI | 1134356827 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 069407) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA oto12955) |
| 207L00000X Anesthesiology (Licence: PA OSO15877) | |
| Enumeration Date | 2009-06-19 |
| Last Update Date | 2019-08-20 |