| NPI | 1508855149 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK 5890) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: CO 41945) |
| Enumeration Date | 2005-10-17 |
| Last Update Date | 2025-01-21 |