| NPI | 1902906472 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 13085) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA ML20008367) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2009-07-09 |