| NPI | 1548372840 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: WI 1787-320) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MN 44092) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2023-03-10 |