| NPI | 1427132588 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 66955) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 99-00071) |
| 207L00000X Anesthesiology (Licence: FL ME111625) | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2022-04-07 |