| NPI | 1417334962 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: IA DO-05325) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 9408565) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2023-06-06 |