| NPI | 1265548028 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS 10026) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 229788) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2009-09-25 |