| NPI | 1437259009 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME117165) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 46463) |
| Enumeration Date | 2006-09-24 |
| Last Update Date | 2016-09-26 |