| NPI | 1982698643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL ME50410) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL 50410) |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2023-05-22 |