| NPI | 1134170400 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AK 2943) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO DR.0032419) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2015-11-30 |