| NPI | 1699791186 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD418174) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C1-0007233) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2017-05-02 |