| NPI | 1144333717 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 32053) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00044289) |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2013-07-02 |