| NPI | 1669461372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: OK 35593) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MI 4301064184) |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2026-04-29 |