| NPI | 1477725349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 35534) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: NE 7795) |
| Enumeration Date | 2008-03-31 |
| Last Update Date | 2021-03-11 |