NPI | 1205882248 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 2623) |
Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 0528649) |
Enumeration Date | 2006-05-25 |
Last Update Date | 2017-05-02 |