| NPI | 1841242039 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV DO1277) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV 1277) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2016-07-23 |