| NPI | 1245235092 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX k1617) |
| Additional Taxonomies | 174400000X Specialist (Licence: TX K1617) |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2020-02-24 |