| NPI | 1336120740 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX L4053) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: TX L4053) |
| Enumeration Date | 2005-11-11 |
| Last Update Date | 2010-06-29 |