| NPI | 1477611077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS10956) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL UO-1453) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2011-07-21 |