| NPI | 1134356025 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 82539) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 82539) |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2023-09-29 |