| NPI | 1134783731 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 43089) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 45964) |
| Enumeration Date | 2019-04-29 |
| Last Update Date | 2024-07-08 |