| NPI | 1396188926 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: PA MD460012) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: DE C1-0012490) |
| Enumeration Date | 2013-04-13 |
| Last Update Date | 2023-09-07 |