| NPI | 1003029141 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 51646-20) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 23925) |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-12-28 |