| NPI | 1326037854 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: DE C1-0006196) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NC 2020-03411) |
| Enumeration Date | 2005-10-18 |
| Last Update Date | 2022-12-05 |