| NPI | 1336253665 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 4757) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 4271) |
| 207P00000X Emergency Medicine (Licence: OK 4271) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2010-10-27 |