| NPI | 1174752307 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 5478) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 779) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2025-01-29 |