| NPI | 1841264769 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME44532) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: VA 0101230201) |
| 207L00000X Anesthesiology (Licence: GA 024024) | |
| 207L00000X Anesthesiology (Licence: ID M6915) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2010-12-28 |