| NPI | 1518129154 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: DE C1-0024055) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA MD433848) |
| 207L00000X Anesthesiology (Licence: DE C1-0009015) | |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2025-03-18 |