| NPI | 1588602577 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: AK 7953) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: AK 106) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2013-01-03 |