| NPI | 1164560686 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 41904) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 24598) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2023-04-03 |