| NPI | 1225011315 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AZ 007093) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 36786-021) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2024-01-11 |