| NPI | 1336261650 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME 90874) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 26214) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2007-07-08 |