| NPI | 1992727788 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD019984E) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE c1-0006936) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2013-12-10 |