| NPI | 1497008205 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 71310-21) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 86242) |
| Enumeration Date | 2012-10-17 |
| Last Update Date | 2024-05-29 |