| NPI | 1508250689 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 440384) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: FL ME139827) |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2025-01-29 |