| NPI | 1811979776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO R7A45) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 05-19187) |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2007-07-08 |