| NPI | 1215973052 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME85528) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME85528) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2023-03-01 |