| NPI | 1689737538 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: FL ME97928) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME97928) |
| 207L00000X Anesthesiology (Licence: MI 4301082698) | |
| 207L00000X Anesthesiology (Licence: AZ 32280) | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2009-01-05 |