| NPI | 1447315510 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 48942) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C1-0005692) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2007-07-08 |