| NPI | 1679677694 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NH 14368) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ME 018682) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2018-10-01 |