| NPI | 1477643948 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME 106940) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-1278) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2012-10-19 |