| NPI | 1922050061 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: GA 048506) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 00560) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-03-04 |