| NPI | 1306894977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 115281) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 04-27720) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2014-11-13 |