| NPI | 1477711836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology Critical Care Medicine (Licence: FL ME 111611) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME 111611) |
| Enumeration Date | 2008-06-01 |
| Last Update Date | 2012-07-17 |