| NPI | 1144209594 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 19129) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 058751) |
| 207L00000X Anesthesiology (Licence: ME EL05014) | |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2018-11-12 |