| NPI | 1093791147 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 33960) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C1-0006402) |
| 207L00000X Anesthesiology (Licence: PA MD071641L) | |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2019-07-16 |