| NPI | 1275522955 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK 3843) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: WA MD00032631) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2024-03-27 |