| NPI | 1427071034 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 36617) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 28769) |
| 207L00000X Anesthesiology (Licence: FL ME 102756) | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2008-09-23 |