| NPI | 1205801453 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME57633) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AZ 34860) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-07-08 |