| NPI | 1326013194 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: LA MD.200460) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME55133) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2016-11-23 |