| NPI | 1356349294 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MD D0027256) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C1-0006000) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2024-08-16 |