| NPI | 1194896985 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 29020) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 056347) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2016-02-15 |