| NPI | 1447494794 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 71055) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC LL31932) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2018-11-01 |