| NPI | 1992021422 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 56465) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 56465-20) |
| Enumeration Date | 2010-04-08 |
| Last Update Date | 2014-07-10 |