| NPI | 1891821617 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME72828) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C10002939) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2007-07-08 |