| NPI | 1518917459 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: VT 042-0012080) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME 017728) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2014-10-22 |