| NPI | 1033218532 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 10897) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 10897) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2022-09-28 |