| NPI | 1295965077 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 30763) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AL 30783) |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2019-11-20 |