| NPI | 1285840801 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NE 30687) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 04-33688) |
| 207L00000X Anesthesiology (Licence: MO 2009007677) | |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2025-05-02 |