| NPI | 1386716892 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 23556) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL TRN7994) |
| 207L00000X Anesthesiology (Licence: FL ME98322) | |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2021-03-11 |