| NPI | 1346580933 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: FL OS 14102) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: OK 5418) |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2023-03-07 |