| NPI | 1053386755 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 6414) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NV 6414) |
| 207R00000X Internal Medicine (Licence: NV 6414) | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2022-05-10 |