| NPI | 1316258908 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK 8026) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: SC 93605) |
| 207L00000X Anesthesiology (Licence: FL UO2367) | |
| 207L00000X Anesthesiology (Licence: FL OS13980) | |
| 207L00000X Anesthesiology (Licence: CO DR.0071710) | |
| Enumeration Date | 2010-06-29 |
| Last Update Date | 2025-06-04 |