| NPI | 1215978259 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME41460) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL MD.12947) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2018-04-13 |