| NPI | 1306867643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME98497) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ND 9481) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2007-10-01 |