| NPI | 1265529036 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS-6999) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 0529428) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-06-14 |