| NPI | 1003070095 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 57337-20) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2008015959) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2024-08-14 |