| NPI | 1194770735 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS7002) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL OS 7002) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2014-07-01 |