| NPI | 1124136395 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 2432) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS73l36) |
| Enumeration Date | 2006-08-28 |
| Last Update Date | 2011-02-11 |