| NPI | 1285600890 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME48092) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: TN MD32262) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2019-07-31 |