| NPI | 1649591413 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: CO 53608) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: KS 04-39572) |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2018-02-06 |