| NPI | 1528107406 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 4375) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AR E-4412) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-05-05 |