| NPI | 1497754543 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 21945) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: GA 0500600) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2010-10-27 |