| NPI | 1427552942 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 81008-21) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL OS18353) |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2024-07-23 |