| NPI | 1134546179 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 34890) |
| Additional Taxonomies | 207LC0200X Anesthesiology Critical Care Medicine (Licence: OK 34890) |
| 207L00000X Anesthesiology (Licence: PA MD464609) | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2019-08-05 |