| NPI | 1194793836 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 21343) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD439524) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2025-04-10 |