| NPI | 1740251404 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME29883) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301036289) |
| Enumeration Date | 2006-01-31 |
| Last Update Date | 2009-03-19 |