| NPI | 1336344928 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 69909) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: GA 69909) |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2016-12-31 |