| NPI | 1215161807 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 42188) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AK 7676) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2018-03-17 |