| NPI | 1518016286 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS10358) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 225550) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2019-12-10 |