| NPI | 1457765133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 6682) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 9408339) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2021-02-04 |