| NPI | 1043501349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 390200000X) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: ID O-1317) |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2023-03-29 |