| NPI | 1417153354 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 25878) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME116141) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2021-10-06 |