| NPI | 1265418214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS 11309) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL DO-805) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2012-03-09 |