| NPI | 1477996429 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S8424) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 04-39754) |
| Enumeration Date | 2013-04-09 |
| Last Update Date | 2026-06-30 |