| NPI | 1932115110 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME84144) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD MD0044572) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2018-11-05 |