| NPI | 1053756932 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OH 58.008009) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 9408051) |
| Enumeration Date | 2013-05-06 |
| Last Update Date | 2017-06-30 |