| NPI | 1083668800 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 5873) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NV DO1370) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2024-06-12 |