| NPI | 1134178411 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: OK 3425) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 3425) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2020-12-30 |