| NPI | 1245563329 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 56854) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WI 56854-20) |
| 207LC0200X Anesthesiology, Critical Care Medicine (Licence: WI 56854-20) | |
| Enumeration Date | 2009-09-08 |
| Last Update Date | 2021-12-30 |