| NPI | 1073532214 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DE C2-0004565) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD H0064703) |
| 207L00000X Anesthesiology (Licence: TX U1450) | |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-03-12 |