| NPI | 1881620656 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 057111) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MA 223238) |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2013-11-22 |