| NPI | 1386798189 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: MO 2005025705) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 05-34533) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2019-06-11 |