| NPI | 1073756953 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: KS 04-42341) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MO 2013009619) |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2024-08-23 |